PCE Musculoskeletal Physiotherapy and Manual Therapy 2

Question 1

In the Maitland grading system, which grade describes a high-velocity, low-amplitude thrust beyond the normal range of motion?

Accepted Answer

Grade V

Answer

Grade V is Maitland's manipulation grade, performed beyond the anatomical limit of range using a high-velocity, low-amplitude thrust technique.

Question 2

A patient presents with a positive FABER test (pain in the posterior pelvis). Which structures are most likely implicated?

Accepted Answer

Sacroiliac joint or hip joint

Answer

The FABER test (Flexion, Abduction, External Rotation) stresses both the sacroiliac joint and the hip joint; posterior pelvis pain during this test implicates the sacroiliac joint.

Question 3

According to the convex-concave rule, to increase glenohumeral internal rotation, the therapist should glide the convex humeral head in which direction?

Accepted Answer

Posteriorly, opposite to the direction of movement

Answer

When a convex surface (humeral head) moves on a fixed concave surface (glenoid), the joint glide is in the opposite direction to the intended bone movement — a posterior glide increases internal rotation.

Question 4

A patient with low back pain centralizes with lumbar extension. According to the McKenzie Method, which treatment is MOST indicated?

Accepted Answer

Lumbar extension exercises

Answer

The McKenzie directional preference principle dictates that when symptoms centralize with extension, extension exercises are the primary treatment approach.

Question 5

Which of the following findings on the Ottawa Ankle Rules warrants an ankle radiograph?

Accepted Answer

Inability to bear weight immediately after injury and during assessment

Answer

The Ottawa Ankle Rules indicate radiography when the patient cannot take four steps (bear weight) both immediately after injury and during the clinical evaluation.

(PCE) Physiotherapy Competency Exam Practice Test

(PCE) Physiotherapy Competency Exam Practice Test

PCE Musculoskeletal Physiotherapy and Manual Therapy 2